| NPI | 1720023591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J HYLAND Owner 719-533-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-12-08 |